Fillers or Botox for lines showing only when laughing or smiling?

If you are referring to the lines near the lower crow’s feet that are noticable when you smile, Botox can help only a little as the doctor doesn’t want to make your mouth muscles go to sleep and create problems eating and with speech. Fillers may look too noticable here. A combination of... more

In general I, botox is used for areas around the eyes and between the eyes and the forehead.  There are some exceptions as botox can be used for neck banding and the lines around the lips. As far as laugh lines or the lines around the corner of the mouth or the marrionette lines, the best treatment is to... more

Botox is great for lines on your forehead and around your eyes whenever you laugh or animate these areas.  However, if you use fillers for lines that only occur with animation, you may be able to see small bumps when you aren't moving those parts of your face.  Check out some before and after... more

  If you see these lines only when laughing or smiling you may not need them treated at all. I would only bother treating lines you see at rest. You do want  some dynamism of your face, smiling and laughing are good things. I would wait until you begin to notice lines at rest and in the meantime... more

Hi Arnj, Botox should be used for facial lines in the upper 1/3 of the face (forehead, crow's feet, bunny lines on the upper nose) that appear with facial expression and muscle movement. For  "laugh lines" from the nose to the mouth (nasolabial folds, lines), fillers such as Juvederm,... more

Since you state that the lines are only present when you laugh or smile, I would recommend Botox.  You do not want to eradicate these lines completely since you also want it to look natural with facial expressions.  Make sure your physician is experienced in use of Botox throught the face. 

It would depend WHERE the lines are and HOW DEEP they are. If by laugh lines you refer to the crow's feet lines just to the side of the corners of the eyes - Botox does a GREAT job on smoothing these. Fillers would be needed only after you saw the extent of smoothing obtained by Botox (not commonly... more

Dear Arnj I really don't blame you for thinking that you should have your smile lines eliminated.  I think that we doctors are responsible for this type of thinking. After all, many doctors think that the purpose of BOTOX is to eliminate lines. In fact some use as their before and after picture an... more

 Laugh lines that form around the mouth when you smile are best treated with a filler as opposed to botox or dysport.  Botox or dysport are best for expression lines in the upper face.  If used for the laugh lines around the mouth, it can cause an unfavorable change in expression and in some way... more

In general, lines that appear only with expression are caused by the muscles of expression, so relaxing them with Botox or Dysport is typically the first option. However, it depends on exactly what lines you are talking about. Botox is usually better for upper face, fillers such as Juvederm, Rstylane, or... more